Outcome of Composite Graft Uptake in Fingertip Amputation in All Age Groups
DOI:
https://doi.org/10.51253/pafmj.v75iSUPPL-6.9490Keywords:
Composite Grafting, Digital Amputation, Graft SurvivalAbstract
Objective: To determine the outcome of composite grafting for fingertip amputation in terms of graft survival.
Study Design: Prospective longitudinal study
Place and Duration of Study: Department of Plastic Surgery, Combined Military Hospital, Rawalpindi Pakistan from, Jan 2020 to Sep 2022.
Methodology: We conducted this study on 174 adults with distal upper limb digital amputations. Patients of both genders between the age of 5 and 80 years were included. Patients with previous surgery for same injury, multiple amputations or complex injuries or compartment syndrome were excluded. All patients received repair with a composite graft and were followed-up for one-year post-procedure to assess outcomes and monitor for complications. Data was analyzed using SPSS 26.0.
Results: The study sample had a median age of 32.00 (IQR: 22.00) years, with males accounting for a majority of the cases i.e., 136(78.2%). Graft failure was seen in 27(15.5%) patients. A total of 12(6.9%) patients required revision surgery. Neuromas and surgical site infections were seen in 9(5.2%) and 7(4.0%) patients, respectively, while 13(7.5%) patients complained of significant pain in the re-implanted digit at one-year, post-surgery. Advancing patient age (p=0.010), a longer time elapsed from trauma to surgery (p<0.001) and development of surgical site infections (p<0.001) were all associated with graft failure.
Conclusion: Composite grafting is associated with good outcomes in patients with digital amputations in-terms of graft survival.
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Copyright (c) 2025 Khurshid Alam, Shahid Hameed, Muhammad Ali Nasir, Farman Mehmood, Khawja Umer Majeed, Abdul Qadeer
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